A Theory-Based Pregnancy, HIV, and Sexually
Transmitted Disease Prevention Program

It's Your Game...Keep It Real

Research Findings

It’s Your Game…Keep It Real (IYG) was rigorously evaluated in two randomized controlled trials in Texas. Below is a summary of the methods and findings.

 

Trial 1 (2004-2007)Trial 2 (2006-2010)
Evaluation Methodology Randomized controlled trial design; treatment and comparison conditions in 10 schools in Southeast Texas. Students in 7th grade were followed until 9th grade (n=907) Randomized controlled trial design; treatment and comparison conditions in 15 schools in Southeast Texas. Students in 7th grade were followed until 9th grade (n=1,258)
Race Ethnicity 44% Hispanic42.3% African American13.7% all other 48.4% Hispanic39.3% African American12.3% all other
Gender 59% Female41% Male 59.8% Female40.2% Male
Age Average age: 13 years Average age: 12.6 years
Behavioral Outcomes After adjusting for covariates:Students in the comparison condition were 1.29 times more likely to initiate sex by the 9th grade than students who received IYG. Students who reported being sexually experienced at the 9th grade follow-up and who were in the comparison condition had a higher frequency of vaginal sex during the last 3 months relative to the intervention condition. Hispanic students in the comparison condition were 64% more likely to initiate sex by the 9th grade than students who received IYG. Female students in the comparison condition had a 1.42 times greater risk of initiating sex by the 9th grade than students who received IYG After adjusting for covariates:Students who received IYG had 1.5 times greater odds of delaying sexual initiation by the 9th grade than students in the comparison condition. African American students and female students who received IYG had over 2 times greater odds of delaying sexual initiation by the 9th grade than students in the comparison condition. Students who reported being sexually experienced at the 9th grade follow-up and who received IYG had 1.5 times greater odds of using a condom at last sex relative to students in the comparison condition. Students who reported being sexually experienced at the 9th grade follow-up and who received IYG had reduced odds of engaging in frequent sex and in vaginal sex without a condom in the past 3 months relative to students in the comparison condition.
Other Outcomes At the 9th grade follow-up, students who received IYG also had:

  • Increased positive beliefs about abstinence
  • Increased intentions to abstain from sex
  • Increased knowledge of HIV/STIs
  • Increased confidence to refuse sex
  • Changed perceptions of peer norms
At the 9th grade follow-up, students who received IYG also had:

  • Increased positive beliefs about abstinence
  • Increased intentions to abstain from sex
  • More reasons for not having sex
  • Greater condom use knowledge, confidence, and intentions
  • Greater intentions to get tested for HIV/STI

Publications

Research Findings - RR
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